| NPI | 1265858559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ANTHONY MILLER Vice President 859-626-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY1533) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |